Individual provider Active NPI

Ali Jaffar, M.D.

  • Cardiovascular Disease Physician
  • Amarillo, TX
National Provider Identifier
1861429243
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
K1843 Issued in TX
Practice address
3501 S Soncy Rd Ste 144
Amarillo, TX 79119-6406
Phone
(806) 352-7200
Fax
(806) 352-3411
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K1843 TX Primary

Addresses

Primary practice location

3501 S Soncy Rd Ste 144
Amarillo, TX 79119-6406

Mailing address

PO Box 51225
Amarillo, TX 79159-1225
Phone (806) 352-7200

Other identifiers 3

IdentifierTypeStateIssuer
8P8530OtherTXBCBS
110155669OtherTXRR PTAN
113737404MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006001474 TX Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 9537128376 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Texas Healthcare System Inc CurrentSince Aug 1, 1996 Accepting new patients
Bsa Hospital LLC CurrentSince Jan 1, 2013 Accepting new patients
Bsa Hospital LLC Current Accepting new patients
Bsa Hospital, LLC CurrentSince Jan 1, 2013 Accepting new patients
Amarillo Cardiovascular Center Past Accepting new patients
Baptist St. Anthony'S Hospital Corporation Past Accepting new patients

Locations

1000 Craig Dr
Amarillo, TX 79106
Phone (806) 212-6649

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1861429243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51225",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791591225",
            "telephone_number": "806-352-7200",
            "fax_number": "806-352-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 144",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196406",
            "telephone_number": "806-352-7200",
            "fax_number": "806-352-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFAR",
        "first_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K1843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P8530",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PTAN",
            "identifier": "110155669",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113737404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.